§9803 Guaranteed renewability in multi­employer plans and certain multiple employer welfare arrangements

Summary

Group health plans that are multiemployer plans (see section 414(f)) or multiple employer welfare arrangements must allow an employer to keep the same coverage or move to different coverage, unless one of six reasons applies: the employer failed to pay required contributions; committed fraud or knowingly lied about important facts; violated key plan rules; the plan stopped offering coverage in that area; for network plans, no one enrolled through the employer lives or works in the plan’s service area and the rule is applied the same way to all employers without using claims history or a factor in section 9802(a)(1); or the employer failed to meet a collective bargaining agreement, did not renew an agreement requiring contributions, or no longer employs workers covered by such an agreement. “Multiple employer welfare arrangement” means the term in section 3(40) of the Employee Retirement Income Security Act of 1974, as in effect on the date of the enactment of this section.